FACTORS INFLUENCING LAY AND PROFESSIONAL HEALTH WORKERS' SELF-EFFICACY IN IDENTIFICATION AND INTERVENTION FOR ALCOHOL, TOBACCO, AND OTHER SUBSTANCE USE DISORDERS IN KENYA.

Journal: International journal of mental health and addiction

Volume: 15

Issue: 4

Year of Publication: 

Affiliated Institutions:  School of Population and Public Health, University of British Columbia, Vancouver, Canada. Africa Mental Health Foundation, Nairobi, Kenya.

Abstract summary 

The global burden of substance use disorders (SUDs), including alcohol and tobacco, disproportionately affect low- and middle-income countries (LMICs), considering their rising disease burden and low service capacity. Nested within a Kenyan training program, this study explores factors associated with healthcare providers' self-efficacy to treat SUD. Surveys of 206 healthcare workers were used to perform regression and sensitivity analysis assessing various factors association with self-efficacy. Self-efficacy for SUD was lower in those practicing in public facilities and perceiving a need for alcohol use disorder (AUD) training; while higher self-efficacy correlated with a higher proportion of patients with AUD in one's setting, access to mental health worker support, cannabis use at a moderate risk level, and belief that AUD is manageable in outpatient settings. Increasing awareness about SUD prevalence, identification, and treatment skills could improve the self-efficacy of LMICs' health care providers and therefore the willingness to implement more services for patients with SUDs.

Authors & Co-authors:  Tsuei Clair Mutiso Musau Tele Frank Ndetei

Study Outcome 

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Statistics
Citations :  Alem A, Kebede D, Kullgren G. The prevalence and socio-demographic correlates of khat chewing in Butajira, Ethiopia. Acta Psychiatrica Scandinavica. 1999;100(S397):84–91. doi: 10.1111/j.1600-0447.1999.tb10699.x.
Authors :  7
Identifiers
Doi : 
SSN : 1557-1874
Study Population
Male,Female
Mesh Terms
Other Terms
Alcohol;Low-middle-income countries;Self-efficacy;Substance use disorders;Tobacco
Study Design
Study Approach
Country of Study
Kenya
Publication Country
United States